1
-
10
of
19
results (0.39 seconds)
Sort By:
-
Better Care Through Understanding the Customer Not Just the Patient
As actuaries in health care, we spend most of our time focused on reviewing claims, enrollment and clinical ... small fraction of their time in these facilities. This article explores what types of data are available ...- Authors: James Dolstad, Craig Cartossa, Justin Hartmann
- Date: Dec 2021
- Competency: Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health insurance; Health & Disability>Health risks; Health & Disability>Payment models; Predictive Analytics; Health & Disability>Provider networks; Health & Disability>Provider risk; Predictive Analytics>Modeling techniques
-
Health Care Cost Trends Request for Proposals – Changes in Medical Trend Due to Provider Disruption
for Proposals – Changes in Medical Trend Due to Provider Disruption The COVID-19 pandemic helped accelerate ... changes in the Health Care system that were already taking place. The major disruptions to the way providers ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
-
Session 2A: Essential Actuarial and Analytic Tools and Methods for Health Insurance and Healthcare Management
health insurance to identify and quantify drivers of healthcare cost and utilization (including wasteful ... methodologies apply, such as underwriting, reinsurance, medical management for population health and chronic diseases ...- Authors: Rong Yi
- Date: Jul 2019
- Competency: Communication; External Forces & Industry Knowledge; Leadership; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
-
Health Care Cost Trends Request for Proposals – Recent Changes in Medical Service Composition and Trends
Proposals – Recent Changes in Medical Service Composition and Trends The Society of Actuaries (“SOA”) Research ... Research Institute is the research arm of the SOA, providing objective, data-driven research that brings ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
-
AI and EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice
EMRs: Pioneering the New Frontier in Healthcare Actuarial Practice In the evolving realm of healthcare actuarial ... reshaping the landscape. This article explores the pivotal role of AI-enhanced Electronic Medical Records ...- Authors: Netanel Lederer
- Date: May 2024
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Innovators & Entrepreneurs
- Topics: Health & Disability; Health & Disability>Health care; Health & Disability>Health information technology; Health & Disability>Provider risk; Health & Disability>Electronic medical record
-
Behavioral Economics: Overview and Healthcare Applications
Applications This article provides an overview of behavioral economic theory as it relates to health and welfare ... insurance plans and provides summaries of two sample applications of the theories: enrollment in health insurance ...- Authors: Randy P Herman, Tony Pistilli, Brian Plaskow, Jeffrey Chanin
- Date: Aug 2020
- Competency: External Forces & Industry Knowledge; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Economics; Economics>Behavioral economics; Economics>Health economics; Health & Disability; Health & Disability>Health care
-
Changing With the Times: The Past and the Future of ACA Risk Adjustment
Changing With the Times: The Past and the Future of ACA Risk Adjustment ACA risk adjustment has now ... in play for years. The original intent of risk adjustment was to help stabilize the market through measuring ...- Authors: Jason Karcher , Cameron Kevin Gleed, Jason James Petroske
- Date: Jun 2020
- Competency: External Forces & Industry Knowledge; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Publication Name: Health Watch
- Topics: Health & Disability; Health & Disability>Affordable Care Act (ACA)
-
Health Care Cost Trends Request for Proposals – Behavioral Health
Behavioral Health The Society of Actuaries (“SOA”) Research Institute is the research arm of the SOA, providing ... address societal challenges and business needs. The Institute provides trusted knowledge, extensive experience ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
-
Health Care Cost Trends Request for Proposals - Risk Adjustment
This mechanism came into being as a means of reducing the risk of selection, particularly in marketplaces ... reflect the risk of individual members or overall members as a whole within a particular cohort of a health ...- Authors: Society of Actuaries
- Date: Mar 2023
- Competency: External Forces & Industry Knowledge; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Health & Disability
-
peos-actuarial-perspective
Join us in this webinar where we explore the intricate relationship between Professional Employer Organizations ... into the art of risk management within this industry. Gain a comprehensive understanding of the diverse ...- Authors: Thomas R Huber, Wendy Kwan, Kim Dorani
- Date: May 2024
- Competency: Communication; Professional Values; Relationship Management; Results-Oriented Solutions; Strategic Insight and Integration; Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession; Health & Disability